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Role of global femoral cartilage in assessing severity of primary knee osteoarthritis

Background/objective Osteoarthritis is a degenerative joint disease marked by structural changes in the joint. Radiological evaluation can be used to assess structural changes. Pain, inflammation, and stiffness are common clinical symptoms, leading to limitations in daily activities. Ultrasound, unl...

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Published in:Egyptian Rheumatology and Rehabilitation 2022-12, Vol.49 (1), p.1-9, Article 16
Main Authors: Khalil, Naylan Fayez Wahba, El-sherif, Sherine, El Hamid, Mowaffak Moustafa Abd, Elnemr, Rehab, Taleb, Raghda Saad Zaghloul
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container_title Egyptian Rheumatology and Rehabilitation
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creator Khalil, Naylan Fayez Wahba
El-sherif, Sherine
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description Background/objective Osteoarthritis is a degenerative joint disease marked by structural changes in the joint. Radiological evaluation can be used to assess structural changes. Pain, inflammation, and stiffness are common clinical symptoms, leading to limitations in daily activities. Ultrasound, unlike traditional radiography, allows for a direct examination of changes in soft tissues. In addition, it is sensitive in detecting osteophytes as well as identifying early OA changes in femoral cartilage associated with clinical manifestations and function. Results A cross- sectional study of 40 patients with primary KOA diagnosed according to the American College of Rheumatology (ACR) criteria. After radiographic evaluation using Kellgren-Lawrence (K-L) scale and US examination assessing global femoral hyaline cartilage (GFC), osteophytes, meniscal extrusion, effusion, and Baker’s cyst of the most symptomatic knee, there was significant correlation between (K-L) grading and (GFC) ultrasonographic grading ( p  = 
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Radiological evaluation can be used to assess structural changes. Pain, inflammation, and stiffness are common clinical symptoms, leading to limitations in daily activities. Ultrasound, unlike traditional radiography, allows for a direct examination of changes in soft tissues. In addition, it is sensitive in detecting osteophytes as well as identifying early OA changes in femoral cartilage associated with clinical manifestations and function. Results A cross- sectional study of 40 patients with primary KOA diagnosed according to the American College of Rheumatology (ACR) criteria. After radiographic evaluation using Kellgren-Lawrence (K-L) scale and US examination assessing global femoral hyaline cartilage (GFC), osteophytes, meniscal extrusion, effusion, and Baker’s cyst of the most symptomatic knee, there was significant correlation between (K-L) grading and (GFC) ultrasonographic grading ( p  = &lt; 0.001). After assessment of pain and functional disability using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale, there was significant correlation between KL and GFC grading with age ( p  = &lt; 0.001 for both), disease duration ( p  = &lt; 0.001 for both) as well as WOMAC total scores ( p  = &lt; 0.001 for both). GFC grading was the only independent predictor relative to other ultrasonographic variables for WOMAC total score ( p  = &lt; 0.001). Conclusions US is a valid tool to evaluate knee joint space and is well correlated with radiographic images. KOA severity assessed by KL grading and GFC ultrasonographic grading showed good correlation with age, duration of the disease, pain intensity, and functional disability.</description><identifier>ISSN: 1110-161X</identifier><identifier>EISSN: 2090-3235</identifier><identifier>DOI: 10.1186/s43166-022-00115-3</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Knee ; Medicine ; Medicine &amp; Public Health ; Osteoarthritis ; Rehabilitation ; Ultrasound</subject><ispartof>Egyptian Rheumatology and Rehabilitation, 2022-12, Vol.49 (1), p.1-9, Article 16</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c331t-dbe7949c67f3b7e1a13bb054ce2976f052640fdb64409eb90af9eaf4bb0490983</citedby><cites>FETCH-LOGICAL-c331t-dbe7949c67f3b7e1a13bb054ce2976f052640fdb64409eb90af9eaf4bb0490983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Khalil, Naylan Fayez Wahba</creatorcontrib><creatorcontrib>El-sherif, Sherine</creatorcontrib><creatorcontrib>El Hamid, Mowaffak Moustafa Abd</creatorcontrib><creatorcontrib>Elnemr, Rehab</creatorcontrib><creatorcontrib>Taleb, Raghda Saad Zaghloul</creatorcontrib><title>Role of global femoral cartilage in assessing severity of primary knee osteoarthritis</title><title>Egyptian Rheumatology and Rehabilitation</title><addtitle>Egypt Rheumatol Rehabil</addtitle><description>Background/objective Osteoarthritis is a degenerative joint disease marked by structural changes in the joint. Radiological evaluation can be used to assess structural changes. Pain, inflammation, and stiffness are common clinical symptoms, leading to limitations in daily activities. Ultrasound, unlike traditional radiography, allows for a direct examination of changes in soft tissues. In addition, it is sensitive in detecting osteophytes as well as identifying early OA changes in femoral cartilage associated with clinical manifestations and function. Results A cross- sectional study of 40 patients with primary KOA diagnosed according to the American College of Rheumatology (ACR) criteria. After radiographic evaluation using Kellgren-Lawrence (K-L) scale and US examination assessing global femoral hyaline cartilage (GFC), osteophytes, meniscal extrusion, effusion, and Baker’s cyst of the most symptomatic knee, there was significant correlation between (K-L) grading and (GFC) ultrasonographic grading ( p  = &lt; 0.001). After assessment of pain and functional disability using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale, there was significant correlation between KL and GFC grading with age ( p  = &lt; 0.001 for both), disease duration ( p  = &lt; 0.001 for both) as well as WOMAC total scores ( p  = &lt; 0.001 for both). GFC grading was the only independent predictor relative to other ultrasonographic variables for WOMAC total score ( p  = &lt; 0.001). Conclusions US is a valid tool to evaluate knee joint space and is well correlated with radiographic images. KOA severity assessed by KL grading and GFC ultrasonographic grading showed good correlation with age, duration of the disease, pain intensity, and functional disability.</description><subject>Knee</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Osteoarthritis</subject><subject>Rehabilitation</subject><subject>Ultrasound</subject><issn>1110-161X</issn><issn>2090-3235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9kF1LwzAUhoMoOOb-gFf9A9WTj6bNpQy_YCCIA-9C0p7Uzq6RpAr796br8NKrAyfv85DzEnJN4YbSSt5GwamUOTCWA1Ba5PyMLBgoyDnjxTlZUEohp5K-X5JVjDtIqUJCBXxBtq--x8y7rO29NX3mcO9DmrUJY9ebFrNuyEyMGGM3tFnEHwzdeJiIr9DtTThknwMmQxzRJ-YjvXbxilw400dcneaSbB_u39ZP-ebl8Xl9t8lrzumYNxZLJVQtS8dtidRQbi0UokamSumgYFKAa6wUAhRaBcYpNE6kkFCgKr4kz7O38WanTx_S3nT6uPCh1dMddY-aNrwopTWV5SBcwVWtGsSqEQ2zJSieXGx21cHHGND9-SjoqWc996xTz_rYs54gPkMxhYcWg9757zCkm_-jfgG2boFD</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Khalil, Naylan Fayez Wahba</creator><creator>El-sherif, Sherine</creator><creator>El Hamid, Mowaffak Moustafa Abd</creator><creator>Elnemr, Rehab</creator><creator>Taleb, Raghda Saad Zaghloul</creator><general>Springer Berlin Heidelberg</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>DOA</scope></search><sort><creationdate>20221201</creationdate><title>Role of global femoral cartilage in assessing severity of primary knee osteoarthritis</title><author>Khalil, Naylan Fayez Wahba ; El-sherif, Sherine ; El Hamid, Mowaffak Moustafa Abd ; Elnemr, Rehab ; Taleb, Raghda Saad Zaghloul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c331t-dbe7949c67f3b7e1a13bb054ce2976f052640fdb64409eb90af9eaf4bb0490983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Knee</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Osteoarthritis</topic><topic>Rehabilitation</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khalil, Naylan Fayez Wahba</creatorcontrib><creatorcontrib>El-sherif, Sherine</creatorcontrib><creatorcontrib>El Hamid, Mowaffak Moustafa Abd</creatorcontrib><creatorcontrib>Elnemr, Rehab</creatorcontrib><creatorcontrib>Taleb, Raghda Saad Zaghloul</creatorcontrib><collection>Springer_OA刊</collection><collection>CrossRef</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Egyptian Rheumatology and Rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khalil, Naylan Fayez Wahba</au><au>El-sherif, Sherine</au><au>El Hamid, Mowaffak Moustafa Abd</au><au>Elnemr, Rehab</au><au>Taleb, Raghda Saad Zaghloul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of global femoral cartilage in assessing severity of primary knee osteoarthritis</atitle><jtitle>Egyptian Rheumatology and Rehabilitation</jtitle><stitle>Egypt Rheumatol Rehabil</stitle><date>2022-12-01</date><risdate>2022</risdate><volume>49</volume><issue>1</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><artnum>16</artnum><issn>1110-161X</issn><eissn>2090-3235</eissn><abstract>Background/objective Osteoarthritis is a degenerative joint disease marked by structural changes in the joint. Radiological evaluation can be used to assess structural changes. Pain, inflammation, and stiffness are common clinical symptoms, leading to limitations in daily activities. Ultrasound, unlike traditional radiography, allows for a direct examination of changes in soft tissues. In addition, it is sensitive in detecting osteophytes as well as identifying early OA changes in femoral cartilage associated with clinical manifestations and function. Results A cross- sectional study of 40 patients with primary KOA diagnosed according to the American College of Rheumatology (ACR) criteria. After radiographic evaluation using Kellgren-Lawrence (K-L) scale and US examination assessing global femoral hyaline cartilage (GFC), osteophytes, meniscal extrusion, effusion, and Baker’s cyst of the most symptomatic knee, there was significant correlation between (K-L) grading and (GFC) ultrasonographic grading ( p  = &lt; 0.001). After assessment of pain and functional disability using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale, there was significant correlation between KL and GFC grading with age ( p  = &lt; 0.001 for both), disease duration ( p  = &lt; 0.001 for both) as well as WOMAC total scores ( p  = &lt; 0.001 for both). GFC grading was the only independent predictor relative to other ultrasonographic variables for WOMAC total score ( p  = &lt; 0.001). Conclusions US is a valid tool to evaluate knee joint space and is well correlated with radiographic images. KOA severity assessed by KL grading and GFC ultrasonographic grading showed good correlation with age, duration of the disease, pain intensity, and functional disability.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s43166-022-00115-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Knee
Medicine
Medicine & Public Health
Osteoarthritis
Rehabilitation
Ultrasound
title Role of global femoral cartilage in assessing severity of primary knee osteoarthritis
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